Individual
AMY ALLISON YEATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2428 N STOKESBERRY PL, MERIDIAN, ID 83646-5035
(208) 895-0050
(855) 543-3086
Mailing address
2428 N STOKESBERRY PL, MERIDIAN, ID 83646-5035
(208) 895-0050
(855) 543-3086
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2471259
ID
261QP2300X
Primary Care Clinic/Center
2471259
ID
363A00000X
Physician Assistant
Primary
2471259
ID
Other
Enumeration date
12/30/2021
Last updated
03/27/2026
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